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>> i think we could do better on medicare fraud and medicaid fraud. there is broad there are providers to build four people or patience they never saw. and we could put more resources behind that. of that is actually done in the clinton administration when shalala was secretary. and it paid off. then it slipped -- slipped behind. it makes doctors very uncomfortable but it is very important. >> "60 minutes" has done some important work on that topic in the public space. we're coming up on one of our. we are done about thank you so much. [applause] >> ladies and gentlemen, over the last two days we have commented on the fact over the past year the global financial crisis has generated consensus here and abroad that the increase government spending of the last year was quite necessary in order to deal with severe long-term consequences of government response is. the point* was too little attention was given to the long term fiscal consequences of programs designed to do with the meltdown of the last year are so. i hope we have dealt with some of those qu
>> i think we could do better on medicare fraud and medicaid fraud. there is broad there are providers to build four people or patience they never saw. and we could put more resources behind that. of that is actually done in the clinton administration when shalala was secretary. and it paid off. then it slipped -- slipped behind. it makes doctors very uncomfortable but it is very important. >> "60 minutes" has done some important work on that topic in the public space....
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Jan 30, 2010
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that is the kind of reform we are proposing for medicare. [applause] >> as i said before, this is entirely a legitimate proposal. the problem is two-fold. one is that depending on how it is structured, if recipients are suddenly getting a plan that has the reimbursement rates going like this but health care costs are still going up like that, then over time, the way we are saving money is essentially by capping what they are getting relative to their costs. i just want to point out -- this brings me to my second problem. will made a very modest proposal as part of our package, our health care reform package, to eliminate the subsidies for medicare advantage, we were attacked across the board by many in your andaisle for slashing medicaid. we will start cutting benefits for seniors, that was the senior. -- the story. it scared the dickens out of a lot of seniors. look. here is my point. if the main question is going to be what do we do about medicare costs, any proposal that paul makes will be made actually from the perspective of those they
that is the kind of reform we are proposing for medicare. [applause] >> as i said before, this is entirely a legitimate proposal. the problem is two-fold. one is that depending on how it is structured, if recipients are suddenly getting a plan that has the reimbursement rates going like this but health care costs are still going up like that, then over time, the way we are saving money is essentially by capping what they are getting relative to their costs. i just want to point out --...
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Jan 8, 2010
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part d are doing something with medicare part d. hiv and aids have come a long way since the 1980's. but now that they are cutting medicare part d, what is your take on that? thank you. guest: the h.i.v.-aids patient care is a nice microcosm for thinking about what is happening in corporate medicare part -- what is happening in care. but why wouldn't hiv or aids patient qualify for medicare -- would and hiv or aids patient qualify for medicare, given that they are on disability for the most part? we have turned into a deadly illness into a chronic one -- turned it from a deadly all this into a chronic one that people can live with and be healthy with. but getting insurance coverage, if you are self-employed or needing individual coverage, the pre-existing conditions make it said these patients cannot get coverage -- so that these patients cannot get coverage. the only way they get coverage is if they filed disability and no longer work anymore because of their illness. they don't get treatment, they get ill, they file for disability
part d are doing something with medicare part d. hiv and aids have come a long way since the 1980's. but now that they are cutting medicare part d, what is your take on that? thank you. guest: the h.i.v.-aids patient care is a nice microcosm for thinking about what is happening in corporate medicare part -- what is happening in care. but why wouldn't hiv or aids patient qualify for medicare -- would and hiv or aids patient qualify for medicare, given that they are on disability for the most...
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Jan 6, 2010
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we have asked that when they submit their state plans for medicare, they have to do a survey in their state to get a sense of what is the work force look like based on what they are offering. i think we will have to pitch in part on that. we really want to help. you need to know who is out there. that is important to community choice. you cannot make the case to the state government unless you say you do not have any people out there. you may not have anybody trained. you need to have that to make the argument to be able to support this stuff. if it will be interesting to see how much resistance we get on this. >> one more question. >> >thanks for coming to speak here today. i hope we all take a moment to understand this. so much of health care reform [unintelligible] is -- this is the one piece that i think as a transformative quality to it. it brings a new model to the table which is important if we are going to involve. i have a question with that in mind. what can you think are the strategies to help the long- term insurance industry see the value of this? that is an important pie
we have asked that when they submit their state plans for medicare, they have to do a survey in their state to get a sense of what is the work force look like based on what they are offering. i think we will have to pitch in part on that. we really want to help. you need to know who is out there. that is important to community choice. you cannot make the case to the state government unless you say you do not have any people out there. you may not have anybody trained. you need to have that to...
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Jan 8, 2010
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open up the va to vets who can use their medicare entitlement. not only that, open it up to their wives. let them buy into the system. it not only makes clinical sense but but an 80-year-old veterans has got comorbidity and they both will have to learn to take care of each other but it makes financial sense because everybody you get off medicare to the va you saved maybe about a third. and patient satisfaction is incredibly high. so that's my case for what we ought to do, not just abouthxz agent orange situation but getting our veterans right in general. thank you. [applause] >> well, thank you, everyone for your remarks. i want to open it up to questions in a minute but i want to ask a few myself.g6v and the first is that it seems like both in vietnam and in the united states -- this is sort of the theme that kind of emerged as we were doing our research and editing the package, what you run into is the limits of science when trying to craft public policy either foreign policy or domestic health policy. as phil said, one wants to condition benef
open up the va to vets who can use their medicare entitlement. not only that, open it up to their wives. let them buy into the system. it not only makes clinical sense but but an 80-year-old veterans has got comorbidity and they both will have to learn to take care of each other but it makes financial sense because everybody you get off medicare to the va you saved maybe about a third. and patient satisfaction is incredibly high. so that's my case for what we ought to do, not just abouthxz...
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Jan 8, 2010
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i could be on medicare but i chose not to do it. i have been with the va since i got out of the service in 71. but why are all these-- and inuit costs >> host: thank you dean. in fact testing and how much doctors employed them has been in regular theme of yours. here's what they yorker article with the headline testing testing. how will the guide to the point where doctors are calling on lots of test that even sometimes they say are gold-plated then? >> guest: your caller did hit the button on one of the issues driving prices which is our malpractice system, which is driven in ways that-- let me give you an example. headaches, one community actually tried to look at how many ct scans and cedar rapids iowa they were doing for people. they found they did 50,000 ct scans for a population of 300,000 in a year. all of us know that this is a necessary and 10,000 of them were for a head ct scans. only a tiny number ended up turning up any abnormality. many were just ordinary headaches. some of them for fear of malpractice suits and a more
i could be on medicare but i chose not to do it. i have been with the va since i got out of the service in 71. but why are all these-- and inuit costs >> host: thank you dean. in fact testing and how much doctors employed them has been in regular theme of yours. here's what they yorker article with the headline testing testing. how will the guide to the point where doctors are calling on lots of test that even sometimes they say are gold-plated then? >> guest: your caller did hit...
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Jan 26, 2010
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also, are you willing -- the government cannot take its hands off my medicare? >> we may get at some point of crisis in which we cannot any longer avoid facing this issue. t(we are hoping to point out tht that crisis is sufficiently imminent said that we have to move ahead. we think that is likely to be persuasive. it is not that the leadership of the congress and the administration did not know about this problem. it is not that they do not know what some of the options are. but so far, partisanship has prevailed and we hope we can turn that around. >> i think it is obvious to the leadership in both houses know the problem is a big one. they know it is a bad one. if we can just add to the trepidation, to the fear that this is something really big and that we'd better think big and at bigç -- and act big, so politically we are doing something we would not otherwise do. if we cannot do that, we are not addressing the problem. one more. >> "the new york times". i want to know, especially from the senator, one of the biggest things is problems facing the congress
also, are you willing -- the government cannot take its hands off my medicare? >> we may get at some point of crisis in which we cannot any longer avoid facing this issue. t(we are hoping to point out tht that crisis is sufficiently imminent said that we have to move ahead. we think that is likely to be persuasive. it is not that the leadership of the congress and the administration did not know about this problem. it is not that they do not know what some of the options are. but so far,...
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Jan 26, 2010
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powell held leadership physicians ndn hell jefferson centers for medicare and medicaid services. wow, that is a lot. please join me in welcoming debbie powell. [applause] >> thank you very much lori for that warm introduction. i really that old. i have had just short stents everywhere. i want to thank the national network for you for inviting me to participate in this symposium this year. it gives me an opportunity to its thank you for all the work that you do and the pleasure of meeting many of you, because at thisbe we know that you were the people that keep the trains running without all of the excellent services you provide, our program would be merely legislation. so i asked and i accepted the opportunity to come in introduce myself today because there has been a change in leadership and i want you to see my face and to thank publicly the director now of the runaway homan youth program, curtis porter for the wonderful leader mackey has provided at fisbe for several years. curtis, stand up. [applause] i have to say that because i have bennett fisbe for a year and i was hired
powell held leadership physicians ndn hell jefferson centers for medicare and medicaid services. wow, that is a lot. please join me in welcoming debbie powell. [applause] >> thank you very much lori for that warm introduction. i really that old. i have had just short stents everywhere. i want to thank the national network for you for inviting me to participate in this symposium this year. it gives me an opportunity to its thank you for all the work that you do and the pleasure of meeting...
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Jan 20, 2010
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it will hurt medicare. it will destroy jobs and reincarnations -- and ruin our nation -- and run ourn ation deeper into debt. it is not in the interest of our state. it is not in the interests of our state and country. we can do better. >> [chanting "yes we can"] when i have travelled, i've had a lot of fun. you guys are all having fun. thank you. we have more of a show coming for you. we are very excited. when i am in washington, i will work in the senate with the democrats and republicans to reform health care in an open and honest way. no more closed door meetings and backroom deals. -- with an out of touch party leadership. no more hiding costs. no more leading trillions in debt for our children to pay. in health care, we need to start fresh. we need to start fresh and work together to do the job right. once again, we can do better. i will work in the senate to put government back on the side of people who create jobs in the millions of people who need jobs. remember, as president john f. kennedy stated
it will hurt medicare. it will destroy jobs and reincarnations -- and ruin our nation -- and run ourn ation deeper into debt. it is not in the interest of our state. it is not in the interests of our state and country. we can do better. >> [chanting "yes we can"] when i have travelled, i've had a lot of fun. you guys are all having fun. thank you. we have more of a show coming for you. we are very excited. when i am in washington, i will work in the senate with the democrats and...